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Okalee of Medina

Living
Options
Life at
Okalee
- Features
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Community
Helpful
Resources
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- Employment

Employment

Employment

Application

Name

First M.I. Last

Email

Address

Street Address Address Line 2 City State ZIP Code

Home Phone

Mobile Phone

Position(s) Applied for

How did you hear about us?

Our Website

Job Fair

Job Board

Friend

Walk-in

Social Media

Other

Friend's Name

Other

When will you be available to start?

If applicable, list licenses/ certifications held. (Example: CNA, RN, LPN, etc.)

If hired, can you furnish proof that you are eligible to work in the United States?

Yes

No

Are you excluded from working at a company that participates in the Medicare, Medicaid, or other federal health care programs; or have you been placed on the Office of Inspector General’s List of Excluded Individuals?

Yes

No

Professional References

Name

Title

Company

Phone

Email

Name

Title

Company

Phone

Email

Name

Title

Company

Phone

Email

Education

High School

City, State

Did you graduate?

Yes

No

College

City, State

Did you graduate?

Yes

No

Degree

Further Education

City, State

Did you graduate?

Yes

No

Degree

Employment History

Previous/Current Employment

Company

Phone

Address

Supervisor

Job Title

How long in position?

Responsibilities

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Previous Employment

Company

Phone

Address

Supervisor

Job Title

How long in position?

Responsibilities

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Previous Employment

Company

Phone

Address

Supervisor

Job Title

How long in position?

Responsibilities

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

I consent to Okalee of Medina employees checking my qualifications, references, and relevant background. I waive any claim I might ever have against Okalee of Medina, its employees, and its directors, relating to the receipt, use, or disclosure of information any of them receive from others in the course of legitimate business activities.

Yes

No

I understand that any offer of employment I receive will be conditional on passing a background check, references, other pre-employment screening, and a drug test (at sites where required).

Yes

No

I verify the information provided on this application is true and correct to the best of my knowledge.

Yes

CAPTCHA

Have a Question?

For any employment-related questions please contact Christine Bott – Business Office Manager at cbott @okaleeseniorliving.com

763-762-5400
4350 Chippewa Court
Medina, MN 55340

763-762-5400
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Okalee of Medina is locally-owned by Lunski, Inc., specializing in the development of premier living environments.

Living
Options
Life at
Okalee
- Features
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Community
Helpful
Resources
Your starting point for exploring senior living options
Connect
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- Employment